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Combination of TENS, Lidocaine Injections and Muscle Manipulations as a Therapeutic Method for Cervicogenic Headache – Pilot Study
Background: Cervicogenic headache is a chronic cause of pain with a symptomatology varying between neck pain, instability while walking, dizziness, vertigo, ear pain, eye pain, and unilateral tinnitus, which is leading to increased morbidity and use of analgesics. Currently, the contribution of the local infusion of lidocaine in the treatment of cervicogenic headache is very significant.
Methods: In this pilot study, eight patients with cervicogenic headache were examined between February 2017 and August 2017 and treated with a three-scale method combining: 1) transcutaneous electric nerve stimulation (TENS); 2) minimally invasive methods of lidocaine injections and nerve blocks; and 3) stretching of the cervical and trapezoidal muscles.
Results: The results show that the combined three-step therapy decreases both pain intensity based on VAS score and constant use of analgesics.
Conclusion: Three-step therapy can be conducted in one session or multiple sessions and appear to constitute a minimally invasive technique that decreases analgesic use, reducing not only their adverse effects and interactions with other pharmaceutics but also the cost of their use.
Keywords: cervicogenic headache, lidocaine, TENS, muscular stretch technique